Cancer Biochemistry Summary Quiz

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Questions and Answers

Which food groups are most closely associated with the presence of nitrites?

  • Fresh fruits and vegetables
  • Whole grains and legumes
  • Processed meats like pickles and sausages (correct)
  • Dairy products like cheese and yogurt

What is a key marker that can indicate liver cancer?

  • High levels of triglycerides
  • Increased α-Fetoprotein (correct)
  • Lowered blood sugar levels
  • Elevated blood pressure

Which cooking method is associated with potentially harmful tar exposure?

  • Baking in a conventional oven
  • Smoked or barbecued foods (correct)
  • Boiling at low temperatures
  • Steaming vegetables

What is an important aspect of dietary treatment monitoring in relation to health responses?

<p>Tracking response and detecting relapses (D)</p> Signup and view all the answers

Which of the following is least likely to be a source of harmful nitrites?

<p>Freshly roasted nuts (C)</p> Signup and view all the answers

Which type of cancer is monitored by the Carcinoembryonic Antigen (CEA)?

<p>Colon and pancreatic cancer (A)</p> Signup and view all the answers

Which of the following is considered a classic carcinogen?

<p>Benzaldehyde (D)</p> Signup and view all the answers

What role do tumor markers play in cancer detection?

<p>Help monitor specific types of cancer (D)</p> Signup and view all the answers

Which virus is primarily associated with cervical cancer?

<p>HPV (C)</p> Signup and view all the answers

What is meant by sustained proliferative signaling in tumors?

<p>Tumors continuously signal cells to divide (D)</p> Signup and view all the answers

What is a consequence of tumors compressing nearby tissues?

<p>Impairment of the function of nearby tissues (B)</p> Signup and view all the answers

Which biochemical marker suggests systemic changes in the body due to tumors?

<p>Elevated liver enzymes (B)</p> Signup and view all the answers

How do tumors disrupt the normal metabolism of the host?

<p>By hijacking nutrients intended for the host (C)</p> Signup and view all the answers

What strain does the metabolic shift in tumor cells place on the host?

<p>Decreased ability to repair damaged tissues (D)</p> Signup and view all the answers

What is one of the local effects of tumors on surrounding tissues?

<p>Compression that leads to functional impairment (B)</p> Signup and view all the answers

Which mechanism allows cancer cells to resist programmed cell death?

<p>Evading apoptosis (C)</p> Signup and view all the answers

What effect does UV radiation have on cells in relation to cancer development?

<p>Causes direct DNA damage (D)</p> Signup and view all the answers

Which of the following breeds has a higher risk of developing breast tumors due to genetic predispositions?

<p>Golden Retriever (B)</p> Signup and view all the answers

Which process is primarily utilized by tumors for energy production, even in the presence of oxygen?

<p>Glycolysis (C)</p> Signup and view all the answers

What role does angiogenesis play in tumor growth?

<p>Induces blood vessel formation (A)</p> Signup and view all the answers

How does sterilization impact breast tumor risk in pets?

<p>Reduces breast tumor risk (A)</p> Signup and view all the answers

Which hallmark of cancer is characterized by tumors altering their nutrient utilization?

<p>Metabolic reprogramming (B)</p> Signup and view all the answers

What is a common outcome of tumors favoring glycolysis over oxidative phosphorylation?

<p>Increased lactate production (B)</p> Signup and view all the answers

What is a major consequence of the structural changes in cancer cells?

<p>Loss of cytoskeletal organization leading to a rounded shape (D)</p> Signup and view all the answers

Which statement accurately describes the functional changes in cancer cells?

<p>They become 'immortal' and can divide indefinitely. (C)</p> Signup and view all the answers

What process do tumor cells induce to support their growth?

<p>Angiogenesis for new blood vessel formation (A)</p> Signup and view all the answers

How do metabolic changes in tumor cells affect the host's body?

<p>Tumor cells increase glucose uptake and metabolic activity. (A)</p> Signup and view all the answers

What characteristic of cancer cells allows them to be more invasive?

<p>Increased plasma membrane fluidity (C)</p> Signup and view all the answers

What type of change in cancer cells contributes to their uncontrolled proliferation?

<p>Loss of function in apoptotic signaling (D)</p> Signup and view all the answers

Which of the following is NOT a consequence of mutations in cancer cells?

<p>Regulated cell division (B)</p> Signup and view all the answers

What effect do cancer cell mutations have on the cellular response to apoptosis?

<p>Cancer cells develop resistance to apoptotic signals. (D)</p> Signup and view all the answers

What characterizes benign tumors compared to malignant tumors?

<p>They are non-invasive and localized. (B)</p> Signup and view all the answers

Which mechanism allows malignant tumors to invade neighboring tissues?

<p>Loss of cell adhesion. (B)</p> Signup and view all the answers

What is a significant consequence of increased proteolysis in cancer patients?

<p>Cachexia and muscle wasting. (A)</p> Signup and view all the answers

How do malignant tumors typically spread within the body?

<p>Via blood and lymphatic systems. (D)</p> Signup and view all the answers

Which process describes the initial stage of cancer development due to genetic mutations?

<p>Initiation. (C)</p> Signup and view all the answers

What is the role of oncopromoters in cancer development?

<p>To promote the proliferation of mutated cells. (B)</p> Signup and view all the answers

Which factor is associated with metabolic disruption in cancer patients?

<p>Elevated pro-inflammatory cytokines. (B)</p> Signup and view all the answers

What is a potential effect of low-carbohydrate diets on tumor growth?

<p>Decreased access to tumor resources. (D)</p> Signup and view all the answers

What is one of the main consequences of high glycolytic rates in tumors?

<p>Excessive lactate production. (C)</p> Signup and view all the answers

Which of the following describes the progression stage of carcinogenesis?

<p>Irreversible uncontrolled cell division. (D)</p> Signup and view all the answers

What is a common physical manifestation of cancer cachexia?

<p>Muscle wasting. (D)</p> Signup and view all the answers

How does collagenase contribute to the malignancy of tumors?

<p>By aiding in the crossing of tissue barriers. (B)</p> Signup and view all the answers

What physiological change is often observed in response to high cortisol levels in cancer patients?

<p>Metabolic disruption. (A)</p> Signup and view all the answers

What differentiates malignant tumors from benign ones in terms of growth?

<p>Malignant tumors exhibit uncontrolled growth. (B)</p> Signup and view all the answers

Flashcards

Nitrites in Processed Meats

Nitrites are chemical compounds often found in processed meats like pickles and sausages. They are used for preservation and color enhancement but can be harmful in large amounts.

Tar in Smoked Foods

Smoked or barbecued foods cooked at high temperatures can contain tar from coal smoke, a potential carcinogen.

What does elevated α-Fetoprotein (AFP) suggest?

α-Fetoprotein (AFP) is a protein found in the blood. Elevated AFP levels can indicate liver cancer.

Carcinogens

Chemicals that can cause cancer.

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Tumor Markers

Substances produced by tumor cells that can be detected in the blood.

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PSA (Prostate-Specific Antigen)

A type of tumor marker that is used to monitor prostate cancer.

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CEA (Carcinoembryonic Antigen)

A type of tumor marker used to monitor colon and pancreatic cancer.

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HPV (Human Papillomavirus)

A virus that can cause cervical cancer.

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Metabolic Shifts in Cancer

Tumor cells show altered metabolism, which helps tumors survive and spread but puts a strain on the host.

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Tumors Compress Tissues

The growth of a tumor can squeeze and damage nearby healthy tissues, interfering with their normal function.

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Biochemical Markers in Cancer

Certain biochemical markers, like liver enzymes or LDH, are found at higher levels in the blood and are used to detect signs of tumors and the extent of their spread.

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Nutrient Hijacking by Tumors

Cancer cells often outcompete normal cells for nutrients, like glucose, disrupting the balance of metabolism in the host.

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Systemic Effects of Tumors

Changes in the normal metabolic processes of the host organism, often caused by tumor growth and spread.

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Loss of Cytoskeletal Organization

Cancer cells lose their normal structure and organization, becoming more rounded and less organized.

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Increased Plasma Membrane Fluidity

Cancer cells have a more fluid membrane, making them more invasive and able to spread.

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Uncontrolled Proliferation and Evasion of Apoptosis

Cancer cells divide uncontrollably and avoid programmed cell death (apoptosis).

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Loss of Specialized Function

Cancer cells lose their specialized function, becoming less specialized and focusing on growth.

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Angiogenesis

Cancer cells induce the formation of new blood vessels to supply them with nutrients and oxygen.

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Increased Metabolic Activity

Cancer cells consume more energy than normal cells, altering the metabolism of the host organism.

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Metabolic Changes in Cancer Cells

Cancer cells have altered metabolism where they use more glucose and energy for their growth.

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Immortality of Cancer Cells

Cancer cells can divide indefinitely, becoming 'immortal' and contributing to tumor growth.

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Evading Apoptosis

The ability of cancer cells to avoid programmed cell death (apoptosis), allowing them to survive and multiply.

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Metabolic Reprogramming

Cancer cells reprogram their metabolism to favor glucose uptake and glycolysis, even in the presence of oxygen (Warburg effect), which helps them proliferate rapidly.

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Warburg Effect

Tumors prefer glycolysis, producing large amounts of lactate, even in aerobic conditions.

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Radiation-induced mutations

Radiation, like UV and ionizing radiation, can damage DNA, leading to mutations that can contribute to cancer development.

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Genetic Predispositions to Cancer

Certain genetic mutations are linked to an increased risk of cancer development. For instance, some dog breeds like Golden Retrievers and Boxers are predisposed to specific cancers.

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H. pylori and Gastric Cancer

H. pylori infection is linked to an increased risk of gastric cancer.

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Sterilization and Breast Tumor Risk

Sterilization in pets can decrease the risk of some breast tumors.

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What are benign tumors?

Benign tumors are non-invasive and localized. They remain confined to their origin and do not spread to other parts of the body. They pose minimal risk unless their growth disrupts vital functions.

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What are malignant tumors?

Malignant tumors are invasive and metastatic. They have the ability to invade surrounding tissues and spread to distant sites through blood and lymph systems.

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How do cancer cells evade neighboring tissues?

Loss of cell adhesion, particularly E-cadherin, allows cancer cells to break free from their original tissue and invade neighboring cells.

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How do cancer cells cross barriers?

Cancer cells produce enzymes like collagenase, which break down the extracellular matrix, allowing them to penetrate barriers and spread.

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What is metastasis?

Metastasis is the process where cancer cells spread to distant parts of the body through the blood and lymphatic systems. These cells can establish new tumors (secondary tumors) in new locations.

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What is the Warburg effect?

Cancer cells exhibit abnormally high rates of glycolysis, exceeding the needs of normal cells. This leads to excessive production of lactate, a byproduct of glycolysis.

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How do tumors get nutrients?

Tumor cells outcompete normal tissues for vital nutrients, especially glucose, leading to nutrient depletion in healthy cells.

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What causes muscle wasting in cancer patients?

Elevated proteolysis and lipolysis (breakdown of proteins and fats) contribute to muscle and fat loss, respectively, in cancer patients leading to weight loss and weakness.

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How does cachexia affect metabolism?

Increased cortisol levels and pro-inflammatory cytokines contribute to the metabolic disruption observed in cachexia. These imbalances further enhance muscle breakdown and energy depletion.

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What happens during initiation in carcinogenesis?

Initiation involves genetic mutations caused by carcinogens, leading to DNA damage and a start of the cancer process.

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What happens during promotion in carcinogenesis?

Promotion involves the proliferation of mutated cells under the influence of 'oncopromoters'. This stage can be reversible if exposure to oncopromoters ceases.

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What happens during progression in carcinogenesis?

Progression marks the irreversible stage of cancer development. Continued uncontrolled cell division and the ability to metastasize become established.

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How can diet impact cancer?

Low-carbohydrate diets or metabolic modulators can restrict the access of tumor cells to essential nutrients, potentially slowing tumor growth.

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What is cachexia?

Cachexia is a complex metabolic syndrome characterized by unintentional weight loss, muscle wasting, and fatigue. It's common in cancer patients and can significantly impact survival.

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What is E-cadherin and its role in cancer?

E-cadherin plays a crucial role in cell adhesion, keeping cells together in tissues. Loss of E-cadherin function allows cancer cells to break away and invade surrounding tissues.

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Study Notes

Cancer Biochemistry Mind Map Summary

  • Target Tumor Metabolism: Lowering drug doses minimizes side effects, aiming for tumor-specific treatment. Strategies like pre-treatment with metabolic inhibitors & combination therapies may reduce resistance.

  • Multidrug Resistance (MDR): Efflux pumps (like P-glycoprotein) remove drugs from tumor cells. Microenvironmental factors (tumor pH, hypoxia) decrease drug effectiveness.

  • Epidemiology: Cancer is a multifactorial disease, influenced by genetics, lifestyle, and environment. External causes (environment, lifestyle) make up most cases of cancer, with internal factors (immune response, genetics) also playing a role.

  • Dietary Risk Factors: Red meats, fried foods, processed meats (nitrites), high-temperature cooking, and smoked/barbecued foods are linked to increased cancer risk.

  • Environmental Risk Factors: Includes exposure to chemicals (e.g., benzaldehyde), radiation (UV, ionizing), and infections (e.g., viruses like HPV, bacteria like H. pylori).

  • Hormonal Risk Factors: Some studies suggest a link between factors like sterilization and a reduced likelihood of breast tumors in certain animals. (NOTE: This may not directly translate to human risk)

  • Genetic Predispositions: Genetic heritage and certain breeds in animals (e.g., Golden Retrievers, Boxers) are linked to higher cancer risks.

  • Tumor Characteristics: Tumors take resources from surrounding healthy tissues, disrupting normal metabolism resulting in cachexia (muscle wasting, fat loss).

  • Tumor Markers: Used for screening, diagnosis, prognosis, and monitoring. Elevated markers like alpha-fetoprotein (liver cancer), carcinoembryonic antigen (colon/pancreatic cancer), and PSA (prostate cancer) indicate potential problems.

  • Cachexia in Cancer: Weight loss, muscle loss, anemia, and metabolic disruptions (insulin resistance, high cortisol) are common symptoms.

  • Metabolic Reprogramming (Warburg Effect): Tumors prioritize glycolysis even with abundant oxygen, producing excessive lactate, which contributes to metabolic acidosis.

  • Hypoxia and Angiogenesis: Tumors induce blood vessel formation (angiogenesis) to support growth. Hypoxia (low oxygen) stimulates metabolic adaptation and processes like HIF1 Activation, aiding tumor survival.

  • Tumor Cell Changes: Structural and functional changes, like increased plasma membrane fluidity, reduced cytoskeletal organization, loss of specialized functions, and "immortal" cell division, make these cells more invasive and capable of unlimited division.

  • Malignancy Mechanisms: Includes loss of cell adhesion, invasive capability, and metastasis (spreading to other organs via blood and lymph systems).

  • Stages of Carcinogenesis: Initiation (genetic mutations), promotion (proliferation of mutated cells), and progression (irreversible uncontrolled division).

  • Oncogenes vs. Tumor Suppressor Genes: Oncogenes (mutated proto-oncogenes) encourage cell growth and division. Tumor suppressor genes (e.g., p53, RB1) normally regulate growth and prevent cancer; mutations can disable these functions.

  • Mutations and Cancer: Point mutations, deletions, and chromosomal translocations can lead to cancer by either activating oncogenes or disabling tumor suppressor genes. (e.g., APC, KRAS, p53 mutations are examples found in different cancers).

  • Cancer Development: This is a multifaceted process involving interacting factors described above.

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